Please read this entire application thoroughly
and fill it out completely. You must be at least 21+ years old to fill out this application. All information
will be kept confidential (including your age). We adopt to Southern NY, Northern NJ and Southern CT only.
Please do not submit an application if you live outside this area. Incomplete and out-of-area applications will
be discarded.

Contact Information

First Name

Last Name

Street Address

City

State

Zip Code

Home Phone Number

Cell Phone Number

E-Mail Address

Please read carefully and agree to the following terms and conditions before filling out our adoption application:

I realize that the vet care for a pet can cost over $1000 per year and I am willing to accept this responsibility.

I live within a 90 mile radius of Larchmont, NY

I agree to pay the adoption/donation that starts at $300 and $60 spay/neuter fee for the puppy/dog I adopt

I am over 23 years of age

I realize if my application is missing any information my application will not be processed